33 results
1. "Sinus Tach" at ~150 bpm is your cue to look for flutter waves
2. Don't trust
#Clinical #EM #Cardiology ... #ECG #Atrial #Flutter
Apical 4-chamber (A4) Apical 4 Chamber view demonstrating the right ventricle (RV), right atrium (RA), left
ventricle (RV), right atrium ... (LV) and left atrium ... septum #Clinical #EM
The arrows point to a subendocardial region with poor contrast enhancement due to ischemia. This is
#Clinical #EM #IM ... Subendocardial #Ischemia #Axial
Approach to ECGs
Check
 - Age, gender, name
 - 25mm/s; 10mm/mV
 - 1mm = 40ms; 0.1 mV
Rate
: WPW, ectopic atrial ... pacemaker - QRS ... leads rsr'), V-pacemaker ... Short QT <300-360 ms
Typical ECG changes in acute pericarditis includes: stage 1 - diffuse, positive, ST elevations with reciprocal
leads indicates atrial ... inverted #Diagnosis #EM
Mallet Finger
Absence of a fracture does NOT exclude Mallet finger, the extension function of the DIP
Hyperflexion injury with axial ... MH/CCF/CWRU EM ... #Orthopedics #MSK
Differential Diagnosis of Syncope
First, is it syncope? History is very important for distinguishing syncope from other
Ask about precipitating ... #Diagnosis #EM #
Clinical image showing neck seat belt sign (diagonal abrasions are present along the course of the
injury including arterial ... #EM #Clinical #Trauma
ROLANDO FRACTURE 
Rolando fracture is an intraarticular three-part fracture of the base of the first metacarpal
• Mechanism: Axial ... MH/CCF/CWRU EM ... #Orthopedics #MSK
This is a parasternal long axis view of a young patient presenting with 3 days of
root, and left atrium ... Michael Macias, EM ... University #Clinical #EM